Optimum implementation of ward head managerial function is one of factors that influence working of the team head and effects on the quality of nursing care. Phenomenon that often happens in hospital is ward head is always busy with meetings held by hospital management so ward head cannot implement his role and function to his members. Purpose of this research is to know how much the influence of implementation of ward head managerial function (planning, organizing, actuating and controlling) to head team’s work. The research design is using observation analytical with cross sectional approach in 13 wards in Dr Saiful Anwar general hospital Malang. Respondents in this research consist of 13 head ward and 26 head team. Using questionnaires as instrument to measure the ward head managerial function and head team work by observation from 360 degrees approach (self evaluation, team, chairman). There is influence of ward head managerial function to the work of head team (p = 0,00 r = 0,905). Double linier regression test shows that only managerial function has influence to the work of head team (p = 0,039 B = 4,150). The conclusion is if managerial function higher, the work of head team is also higher. Nursing implication of this research is increasing managerial function of ward head is important through training strategy plan and nursing managerial concepts.